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Bull Cancer. 2017 Nov;104(11):921-928. doi: 10.1016/j.bulcan.2017.09.014. Epub 2017 Nov 8.

[Crossed perceptions about malnutrition in patients and their doctors in oncology].

[Article in French]

Author information

1
Centre Gustave-Roussy, unité transversale de diététique et de nutrition, département des soins de support, 114, rue Edouard-Vaillant, 94805 Villejuif, France. Electronic address: bruno.raynard@gustaveroussy.fr.
2
Hôpital de l'Archet, service de gastro-entérologie et nutrition, fédération d'hépato-gastro-entérologie et de nutrition clinique, 151, route Saint-Antoine-de-Ginestière, 06202 Nice, France.
3
AP-HP, hôpital Cochin, service de cancérologie, 123, boulevard Port-Royal, 75014 Paris, France.
4
Centre hospitalier universitaire Gabriel-Montpied, service d'anesthésie-réanimation, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
5
Centre Jean-Perrin, service d'oncologie médicale, 58, rue Montalembert, 63011 Clermont-Ferrand, France.
6
Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg, France.
7
Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg, France.
8
Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.
9
CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux, France.
10
CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac, France.
11
CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges, France.
12
CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges, France.
13
AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris, France.
14
CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours, France.

Abstract

Malnutrition is common in oncology. However, it is often detected too late and nutritional support is sub-optimal. The patient's opinion, although often sought in therapeutic decisions in oncology, does not appear to be frequently taken into account in dietetic management. In NutriCancer2012 study, we interviewed patients, relatives and doctors about their perceptions of the impact of malnutrition and its quality of care. Of the 2209 patients questioned, majority said they were concerned about nutrition with 75% considering it essential to take appropriate nutritional care but only 19% self-reported link between malnutrition and fatigue. Physicians underestimated impact of malnutrition on patient's "quality of life". Doctors referred to the lack of human resources and knowledge in nutrition, and more than 80% wished the creation of nutrition teams. Sensitization of the general public and patients (and relatives) as soon as the cancer diagnosis could lead to better malnutrition's screening. Better nutrition training for physicians and creation of nutrition team could optimize management and improve efficacy during cancer treatments.

KEYWORDS:

Doctors; Médecins; Nutritional support; Proches; Quality of life; Qualité de vie; Relatives; Support nutritionnel

PMID:
29128080
DOI:
10.1016/j.bulcan.2017.09.014
[Indexed for MEDLINE]

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